AIC 300 - Claims in an Evolving World EXAM
2025 COMPLETE EXAM QUESTIONS AND
ACCURATE ANSWERS |ALREADY PASSED!!
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Insurers usually send B. By certified mail with a return receipt requested.
denial letters
Select one: Some will also send a copy via regular mail in case the
A. By email to ensure certified letter is not accepted.
prompt receipt by the
insured.
B. By certified mail with a
return receipt requested.
C. By overnight courier.
D. By registered mail.
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As methods of D. Subpoenaed.
communication evolve, it's
important for claims Any written claims communication may be
professionals to subpoenaed.
remember that any written
claims communication
may be
Select one:
A. Replaced with verbal
communication.
B. Misinterpreted.
C. Edited later.
D. Subpoenaed.
In which one of the D. An insured's negotiations with the insurer on a
following scenarios is a complex claim are not going well.
public adjuster most likely
to become involved? If a claim is complex, or if settlement negotiations are
Select one: not progressing with the insurer, the insured may hire
A. An insurer finds it a public adjuster to protect his or her interests.
financially unfeasible to
hire its own claims staff in
a given state.
B. An insured is unable to
afford legal
representation to contest
a claim.
C. A catastrophic disaster
strikes, involving damage
to many properties.
D. An insured's
negotiations with the
insurer on a complex claim
are not going well.
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Which one of the B. TPAs handle claims, keep claims records, and
following statements perform statistical analyses.
regarding third-party
administrators (TPAs) is
most accurate?
Select one:
A. TPAs are typically used
by businesses that have
chosen not to self-insure.
B. TPAs handle claims,
keep claims records, and
perform statistical
analyses.
C. TPAs are generally
found in an insurer's claims
department.
D. TPAs are employed
only by independent
adjusting firms.
Hugo is conducting an A. Proper releases taken
audit of a branch office
claims operation. He is Proper releases taken is a qualitative audit factor; the
evaluating timeliness of others are quantitative.
reports, number of files
opened, proper releases
taken, and accuracy of
data entry. Which one of
Hugo's metrics is a
qualitative audit factor?
Select one:
A. Proper releases taken
B. Timeliness of reports
C. Number of files opened
D. Accuracy of data entry
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Aaron works for a multi- D. Line underwriter.
line insurer. He works with
insurance producers and Line underwriter. This describes the duties of a line
applicants to evaluate underwriter, rather than a staff underwriter. There is
new business submissions not enough information to determine which line of
and conduct renewal business is being written. A public underwriter does
underwriting. Aaron is a not exist. Line underwriters evaluate new submissions
Select one: and perform renewal underwriting, usually by working
A. Staff underwriter. directly with insurance producers and applicants. Staff
B. Public underwriter. underwriters, meanwhile, manage risk selection by
C. Personal lines working with line underwriters and coordinating
underwriter. decisions about products, pricing and guidelines.
D. Line underwriter.
The first key to D. Listening.
communicating
empathetically as a claims Claims professionals should first listen carefully to
professional is understand what the claimant is saying.
Select one:
A. A comprehensive
understanding of relevant
insurance policies.
B. Speaking calmly and
clearly.
C. Being prepared with all
documentation relating to
the claim.
D. Listening.
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